Apicoectomy

Apicoectomy is one of the most common surgical procedures used to treat a periapical infection of a previously endodonticly treated tooth.  In some cases, it is the only possibility of saving a tooth, in others it is a way to avoid replacing an existing post and crown (which is a cost benefit).

Local anesthetic will be used.  Once the patient is numb, the gum above the tooth is cut and reflected away.  An opening in the bone, at the site of the infection is made, allowing access to the tip of the root, where the infection presents. The tip of the root is then cut away and a small spoon is used to clean out the infection tissue. Then the dentist will make a small cavity preparation at the tip of the root and fill it with a tiny amalgam filling, sealing the canal (Retrograde filling). The gum placed back and sutured back.